書誌事項
- タイトル別名
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- An exceptional case of severe oropharyngolaryngeal hematoma after tooth extraction despite bypass therapy using recombinant activated factor Ⅶ in a patient with acquired hemophilia A
- コウテンセイ ケツユウビョウ A カンジャ ニ タイシテ ギョウコ ダイ Ⅶ インシ ホジュウ リョウホウ オ オコナウ モ ジュウトク ナ バッシ ゴ コウコウ イントウ コウトウ ケッシュ オ ショウジタ 1レイ
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<p>Bypass therapy using recombinant activated factor Ⅶ (rFⅦa) or activated prothrombin complex concentrate (APCC) is effective for hemostatic treatment in acquired hemophilia A. We report the case of a 78-year-old man who presented with severe oropharyngolaryngeal hematoma after tooth extraction despite using rFⅦa to manage acquired hemophilia A.</p><p> He was referred to our department because of tenderness of the tongue caused by a metal crown of the left mandibular first molar. About 3 months before our first medical examination, the patient was given a diagnosis of acquired hemophilia A, for which he had subsequently received corticosteroids and had undergone bypass therapy using APCC in the Department of Hematology of our hospital. Panoramic radiography revealed chronic apical periodontitis of the same tooth. We consulted a hematologist. For hemostatic management, rFⅦa preparations were transfused before and after the extraction procedure. However, submucosal hematoma and edema developed in the oral floor the next morning and advanced to the root of the tongue and epiglottis on the following 2 days. We urgently performed intratracheal intubation. After that, rFⅦa preparations were transfused every 3 hours, and the patient was extubated 12 days after tooth extraction.</p>
収録刊行物
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- 日本口腔外科学会雑誌
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日本口腔外科学会雑誌 65 (1), 10-15, 2019-01-20
社団法人 日本口腔外科学会
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詳細情報 詳細情報について
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- CRID
- 1390001288129229952
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- NII論文ID
- 130007617131
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- NII書誌ID
- AN00189163
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- ISSN
- 21861579
- 00215163
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- NDL書誌ID
- 029480466
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- 本文言語コード
- ja
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- データソース種別
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- JaLC
- NDL
- Crossref
- CiNii Articles
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- 抄録ライセンスフラグ
- 使用不可